Help Kyriakos beat Oculo Denta Digital Syndrome.

If you have been directed here by Armata's Appeal, please fill in
the form below , and Thank You.

This is not a registered charity, this is for one small boy, and all
monies will go to his parents for help with the huge expenses they are
trying to raise at the moment, and since he was born. We have watched him grow
for the last 5 years and think it better to monitor one case than leave it to
others.

Please provide the following contact information:

Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

FAX

E-mail

URL

How much would you like to donate and in which currency. ?

Choose one of the following options:

If you would like us to mention your donation on the web, or if you would like to send a personal message to Kyriakos, please put it here.

Enter your credit card number if paying with one.

Expiry Year Expiry month

Enter your e mail address in the space provided below if you would like an irregular update on how Kyriakos is doing..

Thank you so much. You will receive an e-mail to confirm before any
money is debited.